Pearl River Drug Co.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00558/01.1 Issued in MS

Legal business name

PEARL RIVER DRUG CO.

Practice address

510 S Main St
Poplarville, MS 39470

Phone

(601) 795-4239

Fax

(601) 795-4941

NPI assigned

Jul 25, 2006

Last updated

May 1, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew L Failla, RPHNPI 1093933798

Title

Owner/President

Phone

(601) 798-4846

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew L. Failla, R.PH

  • Pharmacist
  • Picayune, MS
  • NPI 1093933798
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1023031713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "address_2": "PO BOX 10",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "39466",
            "telephone_number": "601-795-4239",
            "fax_number": "601-795-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S MAIN ST",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "39470",
            "telephone_number": "601-795-4239",
            "fax_number": "601-795-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL RIVER DRUG CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "FAILLA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "601-798-4846",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "00558/01.1",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00033553",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pearl River County Hospital
• Pearl River County Hospital
• Pearl River County Hospital Emergency Department
• Kimberly Philyaw, NP-C
• Picayune Eye Clinic (Poplarville Eye Clinic)
• Nancy Warden Pizzuto, COTA/L
• Poplarville Dental Clinic
• Poplarville Eye Clinic, LLC

• Community/Retail Pharmacy in Poplarville, MS
• Providers in Poplarville, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.